236251 Effects of smoking cessation intervention on alcohol consumption among African American light smokers

Monday, October 31, 2011: 1:10 PM

Mandy Stahre, MPH , School of Public Health, Division of Epidemiology, University of Minnesota, Minneapolis, MN
Traci L. Toomey, PhD , Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
Darin J. Erickson, PhD , Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
Kola Okuyemi, MD, MPH , Program of Health Disparities Research, Medical School, Univerity of Minnesota, Minneapolis, MN
Jasjit Ahluwalia, MD , Department of Medicine, University of Minnesota, Minneapolis, MN
Excessive alcohol use is the third leading preventable cause of death in the US annually. Although effective alcohol control policies to reduce excessive use have been identified, many of these have eroded over time or face political opposition. Given the strong association between alcohol and tobacco use, another potential mechanism to reduce excessive drinking is through tobacco interventions. The current study used data from the Kick It at Swope II study which examined the combined effect of nicotine replacement therapy and behavioral therapy (health education (HE) or motivational interviewing (MI)) on smoking cessation in 755 African American light (less than 11 cigarettes/day) smokers. Only the effect of behavioral therapy was examined since the original study found smokers in HE were twice as likely to quit than those in MI. This study examined three alcohol behaviors: binge drinking status and frequency, and average number of drinks/day. Significant effects were found for binge drinking at week 8 with the HE group reporting significantly lower binge drinking than the MI group (p=0.045), but these effects decayed by week 26. Quitting smoking explained less than 5% of the relationship between behavior therapy and alcohol outcomes; this mediation was not statistically significant. Participants who quit smoking early in the program were less likely to binge drink at week 8 (p=0.035) than those who either quit later (after week 8) or not at all. The relationship between timing of quitting smoking and other alcohol outcomes were not statistically significant. Implications of these findings will be discussed.

Learning Areas:
Public health or related research

Learning Objectives:
Demonstrate the effect of a tobacco intervention on alcohol use outcomes in African American smokers Explain the impact of quitting smoking on alcohol use outcomes in African American smokers regardless of type of tobacco intervention condition

Keywords: Alcohol Use, Tobacco

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because I have been an epidemiologist in the field of alcohol epidemiology for the past 8 years. The presented work is part of my doctoral dissertation project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.